Estrogen uye Progestin (Vaginal Ring Contraceptives)

Zvemukati

• Usati washandisa ring yemadzimai inonzi estrogen uye progestin,
• Estrogen uye progestin vaginal ring inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
• Mimwe mhedzisiro inogona kuve yakakomba. Zviratidzo zvinotevera hazvishamise, asi kana iwe ukasangana nechimwe zvacho fonera chiremba wako nekukasira:
• Zviratidzo zvekuwedzeredza zvinogona kusanganisira:

Kusvuta fodya kunowedzera njodzi yemhedzisiro kubva kune estrogen uye progestin vaginal ring, kusanganisira kurwadza kwemoyo, kuwonda kweropa, uye kurohwa. Iyi njodzi yakakwira kune vakadzi vanopfuura makore makumi matatu nemashanu ekuberekwa uye vanoputa zvakanyanya (15 kana kupfuura midzanga pazuva). Kana ukashandisa estrogen uye progestin, haufanire kuputa.

Estrogen uye progestin yemadzimai mhete yekudzivirira kubata pamuviri inoshandiswa kudzivirira kubata nhumbu. Estrogen (ethinyl estradiol) uye progestin (etonogestrel kana segesterone) ndiwo mahormone echikadzi echikadzi. Estrogen uye progestin vari mukirasi yemishonga inonzi yakasanganiswa mahormone ekudzivirira kubata pamuviri (mishonga yekuzvarwa). Kusanganiswa kweestrogen uye progestin inoshanda nekudzivirira ovulation (kuburitswa kwemazai kubva mumazai). Vanoshandura zvakare marongero echibereko (chibereko) kudzivirira nhumbu kubva mukukura uye nekushandura mamota ari pamuromo wechibereko (kuvhura kwechibereko) kudzivirira urume (masero ekubereka emurume) kupinda. Mhete dzekudzivirira nhumbu dzemukadzi inzira inoshanda kwazvo yekudzivirira kuberekwa, asi haidziviriri kupararira kwehutachiona hwehutachiona hweHIV (hutachiona hweHIV, hutachiona hunokonzeresa hutachiona hwehutachiona [AIDS]) nezvimwe zvirwere zvepabonde.

Estrogen uye progestin yemadzimai mhete yekudzivirira kubata inouya seyakagadziriswa mhete yekuisa mukati memukadzi. Iyo estrogen uye progestin yemadzimai mhete yekudzivirira pamuviri inowanzoiswa mukati memukadzi uye inosiyiwa munzvimbo kwevhiki nhatu. Mushure memasvondo matatu muchishandisa rin'i yemunhukadzi, bvisai chindori che1-week break. Mushure mekushandisa iyo Annovera^® rin'i yemukadzi kwemavhiki matatu, richenese nesipo isina kunyorova uye nemvura inodziya, riibate rakaoma nemucheka wakachena kana tauro repepa, wozoisa muchiitiko chakapihwa panguva yekuzorora kwevhiki rimwe chete. Mushure mekushandisa iyo NuvaRing^® rin'i yemukadzi kwemasvondo matatu, unogona kuirasa woisa rin'i nyowani yemukadzi mushure mevhiki rinozorora. Ive neshuwa yekuisa yako yemukati mhete pamagumo e1-vhiki yekuzorora pazuva rimwechete uye panguva imwechete iyo iwe yaunowanzo isa kana kubvisa mhete, kunyangwe kana usati wamira kubuda ropa. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Shandisa rin'i yekudzivirira nhumbu sezvayakarairwa.Usambofa wakashandisa mhete dzinopfuura imwe dzekudzivirira panguva uye gara uchiisa uye kubvisa chindori zvinoenderana nehurongwa hwaunopihwa nachiremba wako.

Mhete dzekudzivirira nhumbu dzemukadzi dzinouya mumhando dzakasiyana. Mhando dzakasiyana dzemaringi ekudzivirira kubata pamuviri dzine mishonga yakati siyanei kana madosi, anoshandiswa munzira dzakasiyana, uye ane njodzi dzakasiyana uye mabhenefiti. Ive neshuwa kuti iwe uzive kuti ndeipi mhando yeanodzivirira yekubatira mhete yauri kushandisa uye chaizvo maitiro aunofanirwa kuishandisa. Kumbira chiremba wako kana wemishonga kopi yeruzivo rwemugadziri yemurwere uye uverenge zvakanyatsonaka.

Chiremba wako anokuudza iwe paunofanirwa kuisa yako yekutanga yekudzivirira kusangana nekutsi kwemukadzi mhete. Izvi zvinoenderana nekuti iwe wanga uri kushandisa imwe mhando yekudzivirira kuberekwa mumwedzi wapfuura, wanga usingashandise kuberekwa, kana uchangobva kubereka kana kubvisa nhumbu kana kupererwa. Mune zvimwe zviitiko, ungangoda kushandisa imwe nzira yekudzivirira kuberekwa kwemazuva manomwe ekutanga aunoshandisa ringi yekudzivirira. Chiremba wako anokuudza kana iwe uchida kushandisa backup kuberekwa uye ichakubatsira iwe kusarudza nzira, senge makondomu evarume uye / kana spermicides. Iwe haufanire kushandisa diaphragm, cervical cap, kana kondomu revakadzi kana rin'i yekudzivirira iriko.

Kana iwe uri kushandisa iyo NuvaRing^® vaginal ring, isa mhete nyowani mushure mekuzorora kwevhiki-rimwe; dzokorora kutenderera kwemasvondo matatu ekushandisa pamwe nekuzorora kwevhiki-rimwe, uchishandisa rin'i nyowani yemukadzi pane yega yega kutenderera.

Kana iwe uri kushandisa iyo Annovera^® mhete yemadzimai, isa zvekare rin'i yakachena yechikadzi mushure mekupenga kwevhiki-rimwe; dzokorora kutenderera kwemasvondo matatu ekushandisa pamwe ne1-vhiki yekumbozorora kusvika pamatanho gumi nematatu.

Mhete yekudzivirira nhumbu inowanzo gara mukati memukadzi wako kusvikira waibvisa. Iyo dzimwe nguva inogona kutsvedza kana iwe uchibvisa tampon, panguva yepabonde, kana kuita ura kufamba. Fonera chiremba wako kana rin'i yako yekudzivirira ichibuda kazhinji.

Kana yako NuvaRing^® denderedzwa rekudzivirira nhumbu rinotsvedza, unofanira kurisuka nemvura inotonhorera kana inodziya (kwete inopisa) woedza kuritsiva mukati memaawa matatu. Nekudaro, kana yako NuvaRing^® denderedzwa rekudzivirira nhumbu rinotsvedza robva ratyoka, rirase uye utsive neringi yemadzimai. Kana ringi yako ikadonha ikarasika, iwe unofanirwa kuitsiva neringi nyowani uye wobvisa rin'i nyowani panguva imwechete iwe yawakarongerwa kubvisa rin'i yakanga yarasika. Kana iwe ukasatsiva yako NuvaRing^® rin'i yemukadzi mukati menguva yakakodzera, iwe unofanirwa kushandisa isiri-mahormone nzira yekudzivirira kuberekwa (semuenzaniso, makondomu ane spermicide) kudzamara wawana ringi panzvimbo kwemazuva manomwe akateedzana.

Kana yako Annovera^® dziviriro yepabonde yemadzimai inodonha, ishambidze nesipo yakapfava nemvura inodziya, sukurudza uye pukuta pakaoma netauro rakachena kana pepa, uye edza kuzvitsiva mukati memaawa maviri. Kana rin'i yako yemukati yemadzimai isiri panzvimbo kwemaawa anopfuura maawa maviri pamusoro pekutenderera kwemasvondo matatu iyo rin'i yemukadzi inofanira kuiswa (semuenzaniso, kubva pakudonha kamwe kana kakati wandei), unofanirwa kushandisa isiri-mahormone nzira yekuchengetedza yekuzvarwa (semuenzaniso, makondomu ane spermicide) kudzamara wawana ringi panzvimbo kwemazuva manomwe akateedzana.

Kugara uchiongorora huvepo hwemhete yemukadzi mukati memukadzi usati wasangana uye mushure mekusangana.

Mhete dzekudzivirira nhumbu dzinoshanda chete kana dzichishandiswa nguva dzose. Usarega kushandisa mishonga yekudzivirira yemadzimai pasina kutaura nachiremba wako.

Mushonga uyu unogona kupihwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.

Usati washandisa ring yemadzimai inonzi estrogen uye progestin,

• udza chiremba wako uye wemishonga kana uri weergoria kune etonogestrel, segesterone, ethinyl estradiol, chero mimwe mishonga, kana chero chinongedzo chiri muestrogen uye progestin yemukadzi mhete. Kumbira wemishonga wako kuti uwane runyorwa rwezvigadzirwa muestrogen uye progestin vaginal ring.
• udza chiremba wako kana uri kutora mubatanidzwa we ombitasvir, paritaprevir, uye ritonavir (Technivie) uine kana usina dasabuvir (muViekira Pak). Chiremba wako anogona kukuudza iwe kuti usashandise estrogen uye progestin vaginal ring kana iwe uri kutora imwe kana yakawanda yemishonga iyi.
• udza chiremba wako uye wemishonga kuti ndeipi imwe mishonga yekunyorera uye isina kunyoreswa, mavitamini, uye zvinovaka muviri zvaunotora. Ive neshuwa yekutaura chero eanotevera: acetaminophen (Tylenol, vamwe); antifungals senge fluconazole (Diflucan), griseofulvin (Gris-Peg), itraconazole (Onmel, Sporanox), ketoconazole (Nizoral), miconazole (Oravig), uye voriconazole (Vfend); aprepitant (Simbisa); ascorbic acid (vitamini C); atorvastatin (Lipitor); barbiturates; boceprevir (Victrelis; haichawanikwi muU.S.); bosentan (Tracleer); clofibric acid; cyclosporine (Gengraf, Neoral, Sandimmune); mishonga yeHIV kana AIDS yakadai seatazanavir (Reyataz), darunavir (Prezista) ine ritonavir (Norvir), delavirdine (Rescriptor), efavirenz (Sustiva), etravirine (Intelence), indinavir (Crixivan), lopinavir (Kaletra), nelfinavir (Virtiv) ), nevirapine (Viramune), ritonavir (Norvir), saquinavir (Invirase), uye tipranavir (Aptivus); morphine (Astramorph, Kadian, vamwe); prednisolone (Yakavezwa); rifabutin (Mycobutin); rifampin (Rifadin, Rimactane), rufinamide (Banzel); mishonga yekubatwa kwakadai sa carbamazepine (Tegretol, Teril, vamwe), felbamate (Felbatol), lamotrigine (Lamictal), oxcarbazepine (Trileptal), phenobarbital, phenytoin (Dilantin, Phenytek), uye topiramate (Topamax); telaprevir (Incivek; haichawanikwi muU.S); temazepam (Kudzorera); theophylline (Elixophyllin, Theo-24, nevamwe); kemikari kemikari; uye tizanidine (Zanaflex). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro. Ungangoda kushandisa imwe nzira yekudzivirira kubereka kana ukatora imwe yemishonga iyi paunenge uchishandisa ringi yekudzivirira.
• udza chiremba wako kuti ndezvipi zvigadzirwa zvemakwenzi zvauri kutora, kunyanya zvigadzirwa zvine St. John's wort.
• udza chiremba wako kana iwe wakambove kana wakambove nekenza yemazamu kana chero imwe kenza; cerebrovascular chirwere (kuvhara kana kushomeka kwemitsipa yeropa mukati mehuropi kana kutungamira kuuropi); sitiroko kana mini-sitiroko; coronary arteri chirwere (yakavharika tsinga dzeropa dzinotungamira kumoyo); kurwadziwa muchipfuva; chirwere chemwoyo; kuvhara ropa mumakumbo ako kana mapapu; cholesterol yakawanda kana triglycerides; kukwirira kweropa; atrial fibrillation; kurova kwemoyo zvisina kujairika; chero mamiriro ezvinhu anokanganisa mavharuvhu emwoyo wako (mavhinga etinyama ayo anovhura uye avharike kudzora kuyerera kweropa mumoyo); chirwere cheshuga uye vane makore anopfuura makumi matatu nemashanu; chirwere cheshuga chine BP yakakwira kana matambudziko neitsvo dzako, tsinga dzeropa, maziso, kana tsinga; chirwere cheshuga kwenguva yakareba kupfuura makore makumi maviri; chirwere cheshuga chakakanganisa kutenderera kwako; kutemwa nemusoro kunouya pamwe nezvimwe zviratidzo sekuona shanduko, kushaya simba, uye dzungu; migraines (kana iwe uri pamusoro pemakore makumi matatu nemashanu ekuberekwa); chiropa tumota kana chirwere chechiropa; kubuda ropa kana matambudziko ekuvhara ropa; kusanzwisisika kubuda ropa mukati memukadzi kana hepatitis kana mamwe marudzi echiropa chirwere. Chiremba wako angangokuudza kuti usashandise mhete yemukadzi uye progestin.
• udza chiremba wako kana iwe uchangobva kuve nemwana, kubva pamuviri, kana kubvisa nhumbu. Zvakare, udza chiremba wako kana iwe kana wakambove nejaundice (yero yeganda kana maziso); matambudziko emuzamu senge asina kujairika mammogram kana chipfuva x-ray, mazamu mafundo, fibrocystic zamu chirwere; nhoroondo yemhuri yekenza yemazamu; pfari; kushushikana; melasma (mashava akasviba kumeso); dundira, chibereko kana chiuru chakadonha kana kuputira mukati memukadzi; chero mamiriro anoita kuti nyinyo yako inyanye kutsamwiswa; chepfu inokatyamadza chirwere (hutachiona hutachiona); nhaka angioedema (nhaka nhaka mamiriro anokonzera zvikamu zvekuzvimba mumaoko, tsoka, kumeso, mweya, kana ura); kana itsvo, utachiona, kana chirwere chenduru.
• udza chiremba wako kana iwe uine pamuviri kana kuronga kuva nepamuviri. Kana iwe ukava nepamuviri iwe uchishandisa estrogen uye progestin vaginal ring, dana chiremba wako nekukurumidza. Unofanirwa kufungidzira kuti une nhumbu wodaidza chiremba wako kana wakashandisa ringi yekudzivirira nhumbu nenzira kwayo uye ukarasikirwa nemipendero miviri yakateedzana, kana kana usati washandisa rin'i yekudzivirira nhumbu maererano nemirairidzo uye watadza imwe nguva. Iwe haufanire kuyamwisa mwana panguva yaunenge uchishandisa ringi yekudzivirira.
• kana uri kuvhiyiwa, udza chiremba kuti urikushandisa rin'i yemukadzi yesrogen uye progestin. Chiremba wako anogona kukukumbira kuti umire kushandisa rin'i yemukadzi kanenge vhiki ina zvisati zvaitika uye kusvika kweanosvika mavhiki maviri mushure mekumwe kuvhiya.

Taura nachiremba wako nezve kunwa muto wemazambiringa paunenge uchishandisa mushonga uyu.

Rudzi rwese rwemhete yekudzivirira kubata kusangana nekutsi kwemukadzi rine zvirevo zvakanangana nekutevera kuti unobvisa riini uye / kana kuisa mhete yekudzivirira. Nekuchenjera verenga madhairekitori mune ruzivo rwemugadziri kumurwere uyo akauya neringi rako rekudzivirira nhumbu. Kana iwe ukasaisa rin'i yemunhukadzi zvichienderana nemirairidzo kana kupotsa imwe dosi, iwe unozofanirwa kushandisa nzira yekusimudzira-yekudzora kubereka. Usashandise rinopfuura rimwe chete rin'i yemukadzi panguva. Kana iwe uine chero mibvunzo, fonera chiremba wako kana wemishonga.

Estrogen uye progestin vaginal ring inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

• kuzvimba, kutsvuka, kutsamwa, kupisa, kuchenesa, kana hutachiona hwevakadzi
• chena kana yero kubuda kwemukadzi
• kubuda ropa kana kusangana nemukadzi kana isiri nguva yako
• kujairika kwezamu nyoro
• musoro
• kusvotwa
• kurutsa
• manyoka
• kurema kana kurasikirwa
• kurwadziwa kwepamuviri, unyoro, kana kusagadzikana
• kusagadzikana kwemukadzi kana kwekunze kwekunzwa muviri
• kurwadziwa nemudumbu
• acne
• kuchinja mune zvepabonde

Mimwe mhedzisiro inogona kuve yakakomba. Zviratidzo zvinotevera hazvishamise, asi kana iwe ukasangana nechimwe zvacho fonera chiremba wako nekukasira:

• kurwadziwa musana wegumbo rezasi
• inopinza, kamwe kamwe, kana kupwanya kurwadziwa kwepfupa
• uremu mubhokisi
• kamwe kamwe kufema kwekufema
• kamwe kamwe musoro wakakomba, kurutsa, dzungu, kana kupera simba
• zvinongoerekana zvaitika nekutaura
• kushaya simba kana kushama ruoko kana gumbo
• kuona kaviri, kuona kwakashata, kana zvimwe shanduko muchiono
• matema matema eganda pahuma, matama, muromo wepamusoro, uye / kana chin
• yero yeganda kana maziso; kurasikirwa nenzara; weti yakasviba; kuneta kwakanyanya; kushaya simba; kana kupenya-kujeka ura kufamba
• pakarepo kupisa kwakanyanya, kurutsa, manyoka, kufenda kana kunzwa kupera simba kana wakamira, mapundu, mhasuru kurwadza, kana dzungu
• kushushikana; kunetseka kurara kana kuramba wakarara; kurasikirwa kwesimba; kana mamwe manzwiro anochinja
• mapundu; kuzvimba kwemaoko, tsoka, makumbo, kana makumbo ezasi; mikoko; kana kuvava

Estrogen uye progestin yemadzimai mhete inogona kuwedzera mukana wekuti iwe ugoita maronda echiropa. Aya mamota haasi maitiro egomarara, asi anogona kutyoka nekukonzera kubuda ropa kwakanyanya mukati memuviri. Taura nachiremba wako nezve njodzi dzekushandisa ring yekudzivirira.

Estrogen uye progestin vaginal ring inogona kukonzera mamwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika uchishandisa mushonga uyu.

Kana iwe ukawana chakakomba mhedzisiro, iwe kana chiremba wako ungatumira chirevo kuchirongwa cheKudya neDrug Administration's (FDA) MedWatch Yakashata Chiitiko Chirongwa online (http://www.fda.gov/Safety/MedWatch) kana nefoni ( 1-800-332-1088).

Chengetedza iyi mishonga mumudziyo iyo yakauya mukati, yakasungwa yakavharwa, uye isingasvike kune vana. Zvichengetedze pane tembiricha yemukati uye kure nezuva chairo, kupisa kwakanyanya uye hunyoro (kwete mubathroom). Usaisa mufiriji kana kuisimbisa. Rasa iyo NuvaRing^® mushure mekupera nguva kana ikasashandiswa mune yakapihwa sachet (foil pouch) uyezve mumarara emarara. Usasveta rin'i yemukadzi pasi pechimbuzi.

Izvo zvakakosha kuti chengetedza mishonga yese isingaonekwe nekusvikwa kwevana semidziyo yakawanda (senge vhiki nevhiki mapiritsi epfungwa uye ayo emadonhwe eziso, makirimu, zvigamba, uye inhalers) hazvirambe vana uye vana vadiki vanogona kuvhura zviri nyore. Kuchengetedza vana vadiki kubva kune chepfu, gara wakakiya makofia ekuchengetedza uye nekukurumidza isa mishonga munzvimbo yakachengeteka - imwe iri kumusoro uye kure uye isingaonekwe nevanosvika. http://www.upandaway.org

Mishonga isingadiwe inofanirwa kuraswa nenzira dzakakosha kuona kuti zvipfuyo, vana, nevamwe vanhu havagone kuzvidya. Nekudaro, iwe haufanire kuburitsa uyu mushonga pasi pechimbuzi. Pane kudaro, nzira yakanakisa yekurasa yako mishonga ndeye kuburikidza neyekurapa-kudzosa chirongwa. Taura nachiremba wako kana kuti taura nedhipatimendi rako remarara / rekudzokorora kuti udzidze nezve zvirongwa zvekudzosa munharaunda yako. Ona iyo FDA's Safe Disposal yeMedicine webhusaiti (http://goo.gl/c4Rm4p) kuti uwane rumwe ruzivo kana iwe usina mukana wekutora-kudzoka chirongwa.

Zviratidzo zvekuwedzeredza zvinogona kusanganisira:

• kubuda ropa
• kusvotwa
• kurutsa

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Tevedza zvirevo zvechiremba wako zvekuongorora mazamu ako; mhan'ara chero mapundu ipapo ipapo.

Usati waita chero bvunzo yerabhoritari, udza chiremba wako nevashandi ve murabhoritari kuti urikushandisa mhete yekubatira yesrogen uye progestin.

Usashandise mafuta-based (kusanganisira silicone-based) vaginal lubricants neAnnovera^® mhete yechikadzi.

Usarega mumwe munhu achishandisa mushonga wako. Kumbira wemishonga wako chero mibvunzo yauinayo nezvekuzadza tsamba yako.

Izvo zvakakosha kuti iwe uchengete yakanyorwa rondedzero yeese emushonga uye asiri ekunyora (pamusoro-e-pikisheni) mishonga yauri kutora, pamwe nezvimwe zvigadzirwa zvakaita sevhitamini, zvicherwa, kana zvimwe zvekuwedzera zvekudya. Iwe unofanirwa kuuya nerondedzero iyi iwe nguva imwe neimwe paunoshanyira chiremba kana kana iwe uchigamuchirwa kuchipatara. Izvo zvakare zvakakosha ruzivo kutakura newe kana zvikaitika zvechimbi-chimbi.

• Annovera^® (iine Ethinyl Estradiol, Segesterone)
• NuvaRing^® (iine Ethinyl Estradiol, Etonogestrel)

• rin'i yekudzivirira